Goldenberg, Richard
Goldenberg, Richard is an individual health care provider with primary practice located at 1510 Division Street Suite 200, Oregon City OR 97045. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Goldenberg, Richard can be contacted via phone (503) 650-6880.Contact Information
Primary practice address
1510 Division Street Suite 200
Oregon City OR 97045
Phone: (503) 650-6880
Fax: (503) 650-6888
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD19046 | Oregon |
Profile Details
NPI number | 1750474490 |
---|---|
LBN Legal business name | Goldenberg, Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 2nd, 2006 |
Last updated | Oct 23rd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750474490 | NPPES |
Oregon | MEDICAID | 067983 | |
Oregon | Other | P00821466 |
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